ZipRecruiter

Log In

1

Certified Risk Adjustment Coder Jobs in New York

Essen Healthcare

Be Seen First

Director of Coding Compliance

Bronx, NY · On-site

$85K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Review ICD-10-CM, CPT, HCPCS, and risk adjustment coding to ensure alignment with CMS and payer ... Certified Professional Coder (CPC) certification required. * Minimum 7-10 years of medical coding ...

Stanford Health Care

Physician Educator III

Newark, NJ · On-site

$44.13 - $57.36/hr

CRC - Certified Risk Adjustment Coder and * CPC - Certified Professional Coder or * CCS - Certified Coding Specialist Physical Demands and Work Conditions Physical Demands * Constant Sitting.

Healthfirst

Hybrid Coding Educator

Manhattan, NY · On-site

$30 - $34.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Responsible for auditing clinical documentation encounters to validate Risk Adjustment and HCCs ... GED. • Certified Coding Profession certification: CPC and CRC (If no CRC, then it must be ...

previous pagenext page

Showing results 21-40

All JobsCertified Risk Adjustment Coder JobsCertified Risk Adjustment Coder Jobs in New York

Certified Risk Adjustment Coder information

See New York salary details

$18

$32

$77

How much do certified risk adjustment coder jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for certified risk adjustment coder in New York is $32.04, according to ZipRecruiter salary data. Most workers in this role earn between $23.94 and $31.83 per hour, depending on experience, location, and employer.

How do you become a certified risk adjustment coder?

To become a certified risk adjustment coder, you typically need to complete relevant training or coursework in medical coding and risk adjustment, and then pass a certification exam such as the Certified Risk Adjustment Coder (CRC) offered by the American Academy of Professional Coders (AAPC). Maintaining certification often requires continuing education to stay current with industry standards and coding updates.

Is certified risk adjustment coding a good career?

Certified risk adjustment coding is a growing field within healthcare that involves analyzing patient data to predict healthcare costs and improve reimbursement. It requires strong attention to detail, knowledge of medical coding systems, and often involves working with electronic health records. The demand for certified coders is expected to increase as healthcare organizations focus on risk management and value-based care.

What are the key skills and qualifications needed to thrive as a Certified Risk Adjustment Coder, and why are they important?

To thrive as a Certified Risk Adjustment Coder, you need expertise in medical coding, a thorough understanding of ICD-10-CM guidelines, and certification such as CRC (Certified Risk Adjustment Coder). Familiarity with coding software, electronic health records (EHRs), and risk adjustment models like HCC is typically required. Attention to detail, analytical thinking, and strong communication skills help ensure accurate code assignment and effective collaboration with healthcare providers. These skills and qualifications are crucial for capturing precise patient data, which directly impacts healthcare reimbursement and compliance.

What is a Certified Risk Adjustment Coder?

A Certified Risk Adjustment Coder is a professional who specializes in reviewing and coding medical records to ensure accurate documentation of diagnoses for risk adjustment purposes. These coders play a crucial role in healthcare reimbursement, especially for Medicare Advantage and other risk-adjusted health plans. They analyze patient records using ICD-10-CM codes to help healthcare organizations receive appropriate compensation based on the severity of patient conditions. Certified Risk Adjustment Coders typically hold certifications such as the CRC from the AAPC, demonstrating their expertise in this specialized field.

What are some common challenges Certified Risk Adjustment Coders face, and how can they overcome them?

Certified Risk Adjustment Coders often encounter challenges such as staying current with evolving coding guidelines and accurately interpreting complex medical records. To overcome these difficulties, coders should regularly participate in ongoing education, leverage resources from professional organizations, and collaborate closely with providers to clarify documentation. Maintaining a strong attention to detail and utilizing coding software tools can also help minimize errors and improve coding accuracy. Engaging in peer reviews within the team can further enhance consistency and knowledge sharing.

How much do Certified Risk Adjustment Coders make in the US?

Certified Risk Adjustment Coders typically earn between $50,000 and $80,000 annually, with salaries varying based on experience, location, and employer. Certification and proficiency in coding tools like ICD-10 are important factors influencing compensation.

What is the difference between Certified Risk Adjustment Coder vs Certified Medical Coder?

AspectCertified Risk Adjustment CoderCertified Medical Coder
CertificationsRequires risk adjustment-specific credentials like RAC, CRC, or CPC-RRequires CPC or CCS certifications
Work EnvironmentPrimarily in health insurance, risk adjustment, and payer settingsHospitals, clinics, physician offices, and outpatient facilities
Industry UsageUsed mainly in health insurance and risk adjustment programsUsed across healthcare providers for medical coding and billing

The Certified Risk Adjustment Coder specializes in coding for risk adjustment programs within health insurance, focusing on accurate documentation for reimbursement. In contrast, the Certified Medical Coder works across various healthcare settings, primarily coding diagnoses and procedures for billing. While both roles require coding certifications, their focus areas and work environments differ significantly.

What are popular job titles related to Certified Risk Adjustment Coder jobs in New York?

For Certified Risk Adjustment Coder jobs in New York, the most frequently searched job titles are:

What job categories do people searching Certified Risk Adjustment Coder jobs in New York look for?

The top searched job categories for Certified Risk Adjustment Coder jobs in New York are:

Certified Risk Adjustment Coder jobs near you
Infographic showing various Certified Risk Adjustment Coder job openings in New York as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $66,648 per year, or $32 per hour.

Healthcare Practice Transformation Specialist

PBACO Holding LLC

Passaic, NJ • On-site

$50K - $65K/yr

Full-time

Posted 10 days ago

Job description

About Us

PBACO supports independent physicians with the tools, services and incentives to thrive - without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You're not just a participant - you're our partner.

Position Overview

The Healthcare Practice Transformation Specialist will serve as a key liaison between physician practices and our organization. This role combines EHR training, clinical documentation review, risk adjustment coding, and billing support. The ideal candidate will be a Certified Professional Coder (CPC) with strong experience in Medicare, risk adjustment, and healthcare analytics.

Key Responsibilities

  • Manage and support a physician network to ensure successful EHR integration and troubleshooting.
  • Consult with medical practices to analyze workflows, configure EHR systems, and develop customized training plans.
  • Train physicians and office staff on EHR best practices, regulatory compliance, and specialty-specific workflows.
  • Review clinical documentation and medical records to ensure accurate ICD-10, CPT, and HCPCS coding for risk adjustment and quality gap closure.
  • Conduct coding audits and provide education to providers on compliant documentation.
  • Monitor payer guidelines and coding updates, especially for Medicare Advantage and accountable care organizations.
  • Assist with billing, claims submission, payment posting, and collections as needed.
  • Perform financial analysis and reporting using Microsoft Excel (pivot tables, trend analysis).
  • Analyze denial reports, identify trends, and recommend corrective actions.
  • Support quality improvement initiatives by ensuring accurate coding for chronic conditions.
  • Answer patient billing and claims questions in a professional and clear manner.
  • Maintain compliance with HIPAA, coding regulations, and company policies.
  • Participate in special projects, audits, and continuous process improvement initiatives.

Qualifications

  • Certified Professional Coder (CPC) or equivalent certification.
  • Experience with Medicare Advantage (MA) plans, risk adjustment, or insurance companies.
  • High school diploma or GED required; associate’s or bachelor’s degree preferred.
  • 2+ years of medical coding, billing, or risk adjustment experience.
  • Proficiency in EHR systems (Athena, eClinicalWorks, or similar) and MS Office Suite (Excel expertise strongly preferred).
  • Strong knowledge of ICD-10, CPT, and HCPCS coding and regulatory compliance.
  • Excellent communication and training skills for working directly with providers and staff.

This position requires 50-75% local travel and is eligible for standard IRS mileage reimbursement.